<%-- 
    Document   : register
    Created on : Nov 29, 2011, 11:55:08 AM
    Author     : hafiz anshori
--%>

<%--@page contentType="text/html" pageEncoding="UTF-8"%> --%>
<!DOCTYPE html>
<html>
<head>
<title>Registrasi SiReRe</title>
   <link rel="shortcut icon" href="img/register.ico">
        <meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<title>registrasi</title>
<style type="text/css">
    .isi {
	text-align: justify;
	font-family: "Lucida Sans Unicode", "Lucida Grande", sans-serif;
	font-weight: bold;
	color: #002800;
}
    body {
	background-color: #CF3;
}
    .data {
	color: #005300;
}
    .nama {
	font-family: "Lucida Sans Unicode", "Lucida Grande", sans-serif;
}
    .nama {
	text-align: justify;
}
    .nama {
	font-size: medium;
}
.nama {
	font-size: small;
	color: #F00;
	font-weight: bold;
}
.isi {
	color: #482400;
}
.nama tr td {
	color: #004000;
}
.jika {
	font-family: "Lucida Sans Unicode", "Lucida Grande", sans-serif;
	font-size: medium;
	font-weight: bold;
	text-align: justify;
	color: #060;
}
#footer p {
	font-weight: bold;
}
</style>
</head>
<body>
        <h1 class="isi">Isi <span class="data">Data Diri !</span></h1>
        <form name="form1" method="post" action="">
          <img src="img/Pizza Header.gif" alt="header pizza" width="1083" height="232" align="absmiddle">
</form>
        <p>&nbsp;</p>
        <form action="" method="post" name="form3" class="jika">
          Jika belum punya <em>account </em><strong>SiReRe</strong>, terlebih dahulu untuk melakukan registrasi seperti dibawah ini ...... ;-)
        </form>
        <p>&nbsp;</p>
        <form name="form2" method="POST" action="DaftarMemberServlet?page=registered">
          <table width="667" border="0" class="nama">
            <tr bgcolor="#FF9900">
              <td width="226">Username</td>
              <td width="13">:</td>
              <td width="414"><label for="username"></label>
                <input name="username" type="text" id="username" size="30" maxlength="30"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td width="226">Nama Depan</td>
              <td width="13">:</td>
              <td width="414"><label for="Nama Depan"></label>
                <input name="Nama Depan" type="text" id="Nama Depan" size="30" maxlength="30"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Nama Belakang</td>
              <td>:</td>
              <td><label for="Nama Belakang"></label>
                <input name="Nama Belakang" type="text" id="Nama Belakang" size="20" maxlength="20"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Nama Panggilan</td>
              <td>:</td>
              <td><label for="Nama Panggilan"></label>
                <input name="Nama Panggilan" type="text" id="Nama Panggilan" size="15" maxlength="15"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Password</td>
              <td>:</td>
              <td><label for="Password"></label>
                <input name="Password" type="password" id="Password" size="20" maxlength="20"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Verifikasi Password</td>
              <td>:</td>
              <td><label for="Verifikasi Password"></label>
                <input name="Verifikasi Password" type="password" id="Verifikasi Password" size="20" maxlength="20"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Status</td>
              <td>:</td>
              <td><p>
                <input type="radio" name="mahasiswa_radio" id="mahasiswa_radio" value="radio">
                Lajang</p>
                <p>
                  <input type="radio" name="pns_radio" id="pns_radio" value="radio2"> 
                  Janda/Duda
                </p>
                <p>
                  <input type="radio" name="swasta_radio" id="swasta_radio" value="radio3">
                Menikah</p>
                <p>
                  <input type="radio" name="swasta_radio" id="swasta_radio2" value="radio3">
Siswa/Mahasiswa </p>
              <p>
                <input type="radio" name="swasta_radio" id="swasta_radio3" value="radio3"> 
                Pegawai</p>
              <p>
                <input type="radio" name="swasta_radio" id="swasta_radio4" value="radio3">
                Lainnya 
                <label for="lainnya"></label>
                <input name="lainnya" type="text" id="lainnya" size="25" maxlength="25">
              </p></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Alamat</td>
              <td>:</td>
              <td><label for="Alamat"></label>
                <textarea name="Alamat" cols="50" rows="25" id="Alamat"></textarea></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Kota</td>
              <td>:</td>
              <td><label for="Kota"></label>
                <input name="Kota" type="text" id="Kota" size="20" maxlength="20"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Provinsi</td>
              <td>:</td>
              <td><label for="Provinsi"></label>
                <input name="Provinsi" type="text" id="Provinsi" size="20" maxlength="20"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>Kode Pos</td>
              <td>:</td>
              <td><label for="Kode Pos"></label>
                <input name="Kode Pos" type="text" id="Kode Pos" size="10" maxlength="10"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>No. Telepon</td>
              <td>:</td>
              <td><label for="No. Telepon"></label>
                <input name="No. Telepon" type="text" id="No. Telepon" size="15" maxlength="15"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>No. HP</td>
              <td>:</td>
              <td><label for="No. HP"></label>
                <input name="No. HP" type="text" id="No. HP" size="15" maxlength="15"></td>
            </tr>
            <tr bgcolor="#FF9900">
              <td>E-mail</td>
              <td>:</td>
              <td><label for="e-mail"></label>
                <input name="e-mail" type="text" id="e-mail" size="25" maxlength="25"></td>
            </tr>
          </table>
          
            <p>&nbsp;</p>
            <p>
              <input type="submit" name="Daftar" id="Daftar" value="Daftar">
            </p>
          <p>&nbsp;</p>
        </form>
        
<p></p>
<p></p>
        <div id="footer">
          <p>©2012 SiReRe. Design by <a href="http://www.bibabibabibah.tumblr.com/templates.html">Kelompok 14</a> for <a href="http://www.bibabibabibah.tumblr.com">RBPL B</a></p>
          <ul>
            <li><a href="Dispatcher?page">Home</a></li>
            <li><a href="Dispatcher?page=about">SiReRe</a></li>
            <li><a href="Dispatcher?page=reservasi">Menu &amp; Reservasi </a></li>
            <li><a href="Dispatcher?page=contact">Kontak Kami</a></li>
          </ul>
        </div>
        <p></p>
</body>
</html>
